Individual
JENNIFER S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MILES ST, DAMARISCOTTA, ME 04543-4047
(207) 563-4250
(207) 563-4561
Mailing address
5 MILES CENTER WAY, UNIT 1, DAMARISCOTTA, ME 04543-4067
(207) 563-4250
(207) 563-4561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
014046
ME
208M00000X
Hospitalist Physician
Primary
14046
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3261040099
—
ME
Enumeration date
07/08/2005
Last updated
07/05/2012
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